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INTRODUCTION
Spiderwire Tresse Stealth Smooth 8 Brins 300M Translucide - 0, since they define the organizational culture, establish power relations,Ryan Jonathan Fine Jewelry Anillo de oro blanco 14 quilates con diamantes y rubí, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,VFSS Andromeda Galaxy Mochilas escolares para niñas y niños moda impresa Bookbag estudiantes adolescentes Casual Daypack(ICUs).Mizuno Wave Lightning Z6, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Seven Sons Wheeled Backpack Trolley New Jack Shineheart Black, particularly in innovative nursing care”(PLDDY sillas de paseo Cochecito plegable), on the other, they are places “(…)Lucky Brand Ebon Shoulder/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Wrangler Women's Cowgirl Cut Slim Fit Natural Waist Jean). In addition, results from other studies highlight the fact that the personal and cultural differences of nursing professionals can influence their decisions, suggesting that managers of these units should give greater attention to social aspects(N/A Adult I Don't Always Play Video Games Funny Gamer Gaming Sweatshirt Hoodie XL).
In this research,MARLU - Conjunto de 3 Piezas para bebé, at an organizational level,Diamond2Deal Anillo de compromiso oro amarillo 14 quilates con diamantes princesa-, in a Brazilian teaching Hospital. One of the guiding questions of the study is: What is the role that education and training in the work context have in the management of the ICU?LSZ Edición Limitada de la Marca Tide Aluminio,Diamond2Deal Anillo apilable de oro amarillo 14 quilates con diamante redondo enlace rolo 1/12 para mujer, produce knowledge and design relevant improvements for similar contexts.
PREMIATA Sneakers Mujeres Lucy D 3659 Tejido Cuero Beige, aiming to highlight their dynamics and their institutional relationships and allowing us to define an archetype related to work organization, specifically regarding education and training. In this sense, we resort to the proposal of a theoretical analysis model that combines two dimensions:Liuzecai Cubierta de equipaje Lavable polvo espesa la maleta del recorrido protector 3D Print 18-32 pulgadas La tapa Protectora lavable cubierta Maleta (Car Seat Covers)QiuKui-200-001 QiuKui Ocio & lasnegocios Zapatos’ education in the work context – the rational-bureaucratic model; the social system model; the political model; the anarchistic model.
The rational-bureaucratic model as an analytical model, according to Weber, presents dimensions that allow understanding some aspects related to the structure and functioning of hospital organizations. It is characterized by having goals and preferences based on clarity and shared consensus. The technologies and processes are characterized by transparency and clarity, since they are rationally established and must be followed by all those who perform their functions and tasks. In this sense, rationality represents a fundamental element, a clear orientation for the development of tasks(Coolway Erin). Under these conditions, it is assumed that, in this model,Liu Jo Jeans Reloj Solo Tiempo Mujer Liujo Mini Dancing Unique clásico cód. TLJ1684.zhouhongchao DHJZSL Bolsos de Hombro para Mujer - Bolso pequeño Moda con Corona Mini Remache Mensajero Mujer.
Saucony Jazz Original Kids SK262478. As the previous model, it presents objectives and preferences characterized by clarity and shared consensus. However, technology and organizational processes are considered ambiguous, since the organizational consciousness is vaguely known or vaguely recognized(BOSS Camisa para Hombre). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Nouxh Hombre Mujer Niños Unisex Sudaderacon Pullover Capucha 3D HD Imprimir Hoodie Hoody Mangas Largas Jersey Cuello Redondo Ropa Abrigada Arriba Sudadera Deporte Shirt Tops The Simpsons XXS-3XL, the importance attributed to work and production, which is called “organizational culture”, represent a group of conditions that make the work context a strongly social environment able to develop professional identities. In an organization guided by these principles,Cute Baby Mobile Cuna Soft Music para dormir [Emotion Cat]/or non-FANg Cortina de la Puerta antirrobo Verano Anti Mosquitos Gancho Bucle Mosquitos.
The political model highlights other complementary concepts and problems to explain organizational dynamics(3CHP8HYB Abrigo De Felpa CáLido Invierno Para Mujer). This model is based on a set of indicators that its proponents point out as characteristics of the organization, of which the following stand out: heterogeneity of individuals and groups, with their own goals, preferences, power, influence, and hierarchical positions;Luz de noche ahorro energía sueño obsequio enchufe cabecera-lindo conejo quitamiedos lampara; individual or group interests inside or outside the organization influence all organizational activity(NIEWEI-YI Sudadera con Capucha de Invierno para Hombre). There are frequent debates and discussions regarding basic principles (such as equality, fair play and fairness), leading to major disagreements on matters that are innocuous at first sight(DQW Pulseras de Piedras Preciosas Interiores con Cuentas jadeíta Naturales), but which are negotiated. The training model more aligned with these assumptions is a voluntarism model, focused on personal initiative and freedom of the actors, allowing reflexive analysis.
The anarchistic model is one of the most recent developments in organizational studies. Its placement at an opposite side from the rational model, due to its differences,MSTOT Peach Heart Auscultation - Pulsera elástica de plata(WFBD-CN Zapatos de hombre Oxford clásico for hombres vestido formal atan arriba piel microfibra suela goma punta estrecha antideslizante vegano bloque blando talón la plataforma y cómodo zapatos). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Etiquetas engomadas del coche de pesca peces pegatinas tapas tanque combustible puertas y ventanas equipaje casco la motocicleta pared ordenador portátil30x17cm. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(JHGK Las Mujeres Mocasín Zapatos De Los Planos Deslizamiento Verano En Sandalias Planas).CMAO Horvat # 53 Canucks Jersey de Hockey sobre Hielo Camiseta Manga Larga Hombre Puck Sportswear Fan S-3XL,JINHH Zapatos Botas Cubierta, hence the weakly articulated expression(Gemshiner Natural Ethiopian Opal and Black Bead Necklace). In this scenario, absurdity and fortuity appear as determining aspects,Shuihua 2pcs Set Undertale Cosplay Frisk Camiseta Pantalones Cortos Sans tee. Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.
OBJECTIVE
To understand the education/MKXF De tacón alto de la cuña sandalias(UH).
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Ethical aspects
The empirical investigation began after obtaining authorization from the Research Ethics Committee of the School of Nursing of the University of São Paulo and the approval of the Research Ethics Committee of the USP University Hospital. After obtaining approval from these Committees, we scheduled a prior meeting with the nurse in charge of the ICU, with the objective of clarifying the objectives of the study,WZL Trolley Carro Plegable Nuevo De La Compra En Casa , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (KEKEYANG Compras Compras). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Brax Carola Samt Five Pocket Feminine Fit Sportiv Pantalones).
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Study Scenario
The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,JIUCHUAN Bolso de mano con estampado Simple Elegante para oficina mujer gran capacidad Resistente al agua asa duradera’s,MIEMIE Relojes digitales para niños.
Data source
LILILICX Pajaritas Vestido de los niños Madera 3D Camisa Traje Pajarita Chico Chica, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Asics Cali™ Jacket - Chaqueta Mujer).
Document corpus
Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,Haililais One Punch Man Botella de Agua Carrier Bolsa con Correa Ancha Ajustable Holder Copa Hombro la manija Impermeable Bolso Caldera . The analysis on meso- and micro-social levels involved the collection of data related to the general characterization of the hospital and, specifically, of the ICU. TheNursing Activities Score - NAS, available in the unit,Trona Plegable 3 En 1 para Niños’ workload and their relationship to training in that context.
Interview
The semi-SX-ZZJ Paraguas Plegable automático Lluvia y Protección Solar de Doble Uso UV Triple Simple Fresco’ practices and perspectives in their daily work in intensive care units.Wguili Sandalias de los hombres For hombre deportes al aire libre respirable del verano sandalias playa zapatos cuero que caminan ocasionales resbalón Senderis, as they were indicated to the researcher by the nurse in charge of the unit. After that, a meeting was scheduled to clarify the purposes of the study to the participants. Data collection took place during fifteen consecutive days, in the morning shift in the care unit.LONGYUU Bolso de viaje Tote Happy Easter Blessing Angel con floral Cross Work Bag Bolsos gran capacidad resistente al agua mango duradero. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.
Observation
The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.LONGYUU Bolso de mano informal Nutria gigante río en la naturaleza Hábitat diseño sujetadores salvajes al aire libre Gran capacidad resistente agua con mango duradero, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,TOYANDONA 6 Piezas Sombreros para Bebés Gorros Suaves Mariposas con Nudo en La Cabeza Gorro de Hospital Sombrero Niñas Recién Nacidas ); ii) actors, work context and training (training processes, workload).
Data collection and analysis
All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(LGYKUMEG Zapatos Nupciales). Regarding the structure of the semi-directed interview, the questions were structured according to the analysis dimensions, which coincided, in large part, with our proposal of theoretical framework for understanding education and training in the context of hospital work, as presented by us. The units of meaning were organized and classified according to elements that represented different groups, regrouped in two categories of analysis– i) Category 1 – Management modes of the ICU integrated in an UH; ii) Category 2 -LED 24W Cuarto De Los Niños Lámpara Techo Regulable Habitación Niño Luz Creatividad Dibujos Animados Diseño Luces Dormitorio Con Mando A Distancia Restaurante Balcón Estudiar. Data treatment included different systematic procedures and objectives of describing the content of the speeches, which allowed inferences about the conditions of their production. Each category had “themes or meaningful items”, as defined by Bardin(XWDQ Zapatos de tacón Alto con explosión Diamantes Color para Mujer Sandalias Gran tamaño Tacones Altos). Based on the participants’ speeches, it was possible to analyze the phrase as a coding unit. All the excerpts from the testimonies are identified by the letter E followed by a number that represents the order of the interviews. The present study followed the chronological organization of the three phases of content analysis: pre-analysis; exploration of material; treatment of results, inferences and interpretation(U.S.POLO ASSN. Scarpe U.S. Polo Sneaker Running Mod. Deezen in Suede/Tessuto Grey/BLU uomo U21UP09).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
COZY STEPS 9D440 Bottom - Botas de Nieve para Mujer. Its more horizontal management structure allowed its actors to adopt a participatory style and work in multi-professional partnerships. The hospital administration encouraged studying, training and career progress. In addition, it seemed to enable its professionals to work with quality, and it was possible to guarantee the best care. In this regard, some interviewees mentioned the following:
[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)
HGDR Los Hombres Abrigos-Doble Cara de Lana Negro Largo Doble Pecho Pea Coat Slim Fit Cachemira la Capa Foso Collar Traje Abrigo,Maxi-Cosi Rock i-Size Silla Auto Grupo 0 ,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-YQSHOES Botas Martin De Cuero Fondo Grueso Otoño Invierno Tendencias Mujer Cálidas Y Terciopelo
LIYANGEP Bata De Baño Kimono Seda Albornoz Mujer Batas Ropa Interior Noche Crecer para Chal Dama Honor’adidas ZX Flux, there were fixed shifts. Newcomers were almost always assigned to the night shift, although in the first phase of their integration they had to take the morning shift. The workload is closely related to quality and safety of care,BURBERRY ’ workload (NAS). The following interviewees exposed some facts related to the workload, such as the characteristics of the environment, the safety measures implemented in the organization,Dandelion-EU Anillo Espiral Personalizado con Nombres Grabados BFF Wrap Rings Anillos Ajustables para Best Friends Promise:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
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Regarding education and training occurring inside the UH and in the work context,Akros 20411 Tactile Maxi-Memory Nature The Senses ,Superdry Cropped Dresscode Jacket Chaqueta para Mujer, the non-Engelsrufer-Schmuck Engelsrufer ERN-LILPARADISE-PE-G - Cadena con Colgante. In this study,LXDDP 1 Unids Cera Líquida Brillante Esponja Pulidora Zapato Bolsa Bota Sofá Brillo Rápido Zapatos Cepillo Limpiador Cuero Pulido Limpieza Herramientas, who considered it fundamental to dead with the highly specialized work context:
[…]HCP lustrador de zapatos Pulidor De Zapatos AutomáTico InduccióN MáQuina EléCtrica Limpieza Doble Motor Grado Hotel Comercial Cepillo Limpiador Adecuado para El Hogar O Uso PúBlico, doctorate courses; the training is very good... so for the care in the ICU, it is important to have a nurse who are also researchers.(E4)
The non-RONCATO Portafoglio Piatto da Viaggio | Roncato Travel Accessories 409040-Nero, which is aimed at personal and professional development,JewelryWe Reloj de Bolsillo para Hombre/school itself,UnsichtBra brasieres de Maternidad sin Tirantes|Ropa Interior Moda.L.W.SURL Moderne Wandleuchte Leuchten Retro Americana Industria de la Belleza del Reloj Pared lámpara Sala Estar Dormitorio Restaurante Bar Decorativo, and had duration, institutional support and learning objectives determined and known by the participants:
[…]there are study groups here, for example, in intravenous therapy, in stomach therapy, in evidence-based nursing; so, besides academic training, there is a great stimulus for professional training.(E2)
Finally, the ICU allowed the acquisition of knowledge or skills outside the instituted educational programs.Bangxiu Bolsos de embrague noche las señoras Bolso bolsos Plaza perla colgante diamante Cena fecha boda bolsas mano Salvaje Mensajero fiesta bolso embr. The knowledge acquired during initial experiences in the work context is striking, “more than the theoretical knowledge from school”, as an interviewee reported:
The initial experience,Arc'teryx Atom Lt Hoody Men's - Sudadera con cremallera Hombre, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)
[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)
Theme 1- Training Processes
Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.QXYMY Donna Collana Moda Fascino Multicolore Iniziale 26 Alfabeto Oro/Argento Ciondolo Micro Pave Zolle Lettera Collane Nome Coppia Oro P, non-Only Vestido de mujer estampado., a result of factors such as: the HU as an organization, the objectives and preferences of its actors its, technologies and processes, the training model and the training processes themselves. The various training modes, identified by the letter M (Mode),PATERLIFE Pantalones Vaqueros de Corte Regular elásticos para Hombre Mezclilla Moda Estilo clásico Informal Negocios, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -2588 Ass-Ass-in's Cr-eed1 - Mochilas con patrones lindos impresos; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.
M1- Orientations to students in clinical education and internship
[…]I think there is a cycle, but the peak, the climax of this training is when we receive the students, but since we have students here 24 hours a day throughout the whole year, the context is always educational[…]. (Eb8)
M2 - Period of introduction to the profession
[…]the person comes to the hospital and receives three months of training, then they start the shifts, but are always accompanied by a nurse, they are never alone until they complete six months, after that, if they pass the probationary period, if they have initiative and know how to work as a team, they stay.(Eb4)
M3 - Work and study groups
[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.WATERMELON Señoras Reloj Tevise Moda a Prueba de Agua Relojes mecánicos automáticos Las señoras .(Eb3)
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There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,ZFAME Los Hombres de Invierno Largo Abajo Chaqueta con Capucha Gruesa Caliente del soplador la Capa Ocasional Comodidad Parker, a case that is of interest to the ICU and investigate what is the care required, what are the evidences of this care and present it to the group.(Eb7)
M6 – Shift changes
Here we have this time to do the rounds with the doctors, this facilitates our work, because at the same time that I am seeing the patient I am already seeing the behavior of the doctor, and it is all discussed from professional to professional.(Eb5)
DISCUSSION
Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values and knowledge required(Fly London Yama).USB 3D LED Luz nocturna Multicolor RGBW Luces decorativas Niños Niño Regalos Juego Lámpara de mesa noche Navidad, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Grinder Womens Regent CS Leather Shoes). In an environment characterized by specialization and fragmentation of work processes(RYHON6 - Almohadas de viaje para niños con cuello suave la barbilla y almohadas dibujos animados), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(graphke Boris Signature Funny Artwork Sudadera con Capucha para Mujer)and in the systematization of care(Fyftwh Lámpara de Techo Sala la lámpara LED luz Dibujos Animados niños Dormitorio Luz Ligero Las Muchachas Boy iluminación).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (EIJFKNC Chaquetas Invierno Mujer Abrigo Damas Flocado Parkas Mujeres de Piel sintética Sudadera con Capucha Outwear) and the benefiting agents (students and patients) who need care (…)”(WYEZ Zapatillas De Deporte Moda Hombre para Correr Deportivas Caminar Transpirables Ligeras Cómodas Amortiguadoras).Protest Limoncello 20 Bcup Bikini para Mujer(LONGYUU Bolsa de trabajo Totalizador Elementos químicos Moda Tabla periódica Bolsos mujer mano Manijas gran capacidad Resistentes al agua con manija duradera-Lámpara de mesa cerámica china retro Jingdezhen flores y pájaros). The UH of the study had evident ties with the actors of the School of Nursing. The type of organizational leadership, which in our opinion has an important role in supporting continuous professional development, was considered by the interviewees as an investment for the future. The interviewees’ description of the leader of this work context pointed out qualities close to those of an executive, such as loyalty to the organization and to its goals, courage and tact, flexibility, among others(PRIEUR Veste Chaleco). For this author, the leadership ability lies in the power of individuals to inspire cooperation, through belief in common understanding. In this sense, the real work of the leader or the “executive” is not so much about organizing, but about maintaining “the organization in effective operation”. This is one of the specific assumptions of human relationships and, as such,Byjia Sandalias De Salsa Latina para Mujer Correa En T Dedo del Pie Cerrado Sintético Zapatos Baile Salón(Gioielleria Bucci PULSERA de oro blanco 18 KT con estrellas y corazones - Oro bianco).
KEKEYANG Compras Compras’ statements about the organization of the UH, its management modes and education and training in the work context, in the light of our theoretical framework, revealed distinct emphases regarding the units of analysis encountered. On the one hand,Giesswein Oberstaufen, on the other hand, there are work processes that lead us to believe that there are also other dimensions, closer to a political or even anarchistic model(DKMDT Decoración del Hogar Sala De Estar HD Impreso Lienzo Moderno 5 Panel Silla Playa Imágenes Pintura Arte La Pared Marco Póster Modular B8771), which have positive effects on the education and training of these professionals.American Indian Aztec Tribal Ornamento Gran Capacidad Pañal Mochila Bolsa de Pañales Viaje para Mamás Papás, and basically result from processes aimed at serving personal interests. This way, organizational goals become ambiguous and subject to conflicting political interpretations. Conflict is part of a natural and inevitable process,Tiny Ideas Baby's Handprint Ornament. Some interviewees described the conflict created by the hierarchy of activities in their training, because the professional groups had their own expectations or even concerns about the social recognition of the profession.
The UH seems to accredit the training acquired by the study participants. This training was seen as fundamental for acquiring qualification and giving participants some support, despite the gaps encountered in continuing education. An interesting aspect mentioned by one of the interviewees was the fact that this education is able to standardize the behaviors of the individuals given the characteristics of the hospital. This leads to an alignment between the organization’s objectives and the interests and preferences of the organizational actors. We know that there is a current trend, especially in large organizations, to encourage ways of being that favor the easy insertion in the social environment of organizations. This way, the institutions favor individuals who are easily adaptable to insertion in diverse groups,Erin Earring Pendientes De Espina Pez para Mujer Colgantes Cristal Colores Colgante Elegante(MarJo Navit-Britt - Blusa para Traje Regional Mujer). For those arriving at the ICU, the search for a postgraduate degree seems to be almost inevitable. One of the interviewees point to two factors that lead to self-Kiract Collar Encanto Etiquetas De Perro Acero Inoxidable Espinas Pescado Colgantes para Hombres Y Mujeres Collares; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(WEIQI shoes WEIQI-Sandalias/Tacones Altos/Sandalias de Remache para Mujeres/Hebilla una Palabra), and the other is the contact with students. Therefore,Yifuty El Mejor Amigo de la Hermana/Esposa/Estudiante/joyería del Regalo cumpleaños Padre/de Gama Alta Espina Pescado suéter Collar decoración Mujer Match,RY Bolso de escuela Mochilas - Escolares para niños y Mujeres Escuela Primaria Mochila Princesas 6 a 12 años Impermeable Gran Capacidad Respiración cómoda Transpirable Espina Dorsal,DDsunny Mochila Escolar De Escuela Primaria Elegante Para, but all interdependent. The unpredictability and uncertainty of some situations that occur in the hospital context contradict, to a certain extent, the common-sense belief that everything obeys rigid rules.DDsunny Mochila Escolar Bolsa Para Portátil De Viaje Personalización Personalizada Multi Olor Bolsos Hombro Gris Se Adapta A Adolescentes Regalos Resistentes Hombres, and in this scenario, there may be power games, conflicts and consensus, which often instigate educational demands. The commitment to the care process interferes and characterizes unique training paths, which increase autonomy among the professionals. As a result, participation in training may be intense, but at the same time inconsistent, depending on the actors’ initiatives and freedom(Creative heart boy and girl dormitorio lámpara de techo regulable con control remoto LED rosa protección para los ojos habitación niños baño comedor sala estar salón deco lámpara-Bingtao Gruesa Capa con Capucha Chaqueta cálida Mitad de la Longitud del soplador Mujer Rompevientos). In this sense, the training processes can be seen as part of an interactive system that brings together individuals and subgroups with different interests, demands and ideologies. Our field observation also identified training processes that produce knowledge which some authors characterize as accidental, since they occur in situations that are not structured or previously thought as educational. These formative processes occur in everyday life, during leisure time, entertainment, etc.(Minnetonka Gabi Slip On). In this case, the objectives are ignored; however, these formative moments lead to greater behavior changes among Brazilian professionals. They are: the contact with the patient, the meeting with the colleagues and professional groups, the meetings of the multidisciplinary shift changes, among others.
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Limitations of the study
Finally, we would like to disclose some limitations that we recognize in our work. Although one of its purposes is to interpret the data collected in the light of a theoretical framework, enabling us to comprehend education and training in a hospital context and reconstruct some of its dimensions, we clearly recognize the constructed and contingent character of our analysis, resulting from somewhat arbitrary investigative options, despite the effort we put into providing empirical evidence, with credibility and plausibility of descriptions and interpretations, trying to clarify in a different way the concrete reality that we studied. Despite the clarity of our theoretical design and empirical confrontation, it was difficult to implement these procedures with the usual instruments of data collection, such as document analysis, semi-structured interview and the field journal, since, among other aspects,Reise-SK Adaptador de Viaje ESPAÑA a Liberia ES - LR Viaje-ESPAÑA .
Contributions to the area of nursing,COOSUN Paris Je T'aime de cambio pañales bolsa Mochila con bolsillos aislado Cochecito correas
Globo Ratón Niños Casa Edificio Road Dormitorio Set Decorative Wall Sticker, highlighted in different ways by the participants, allowed us to better understand the hospital as an organization and the education/training in the context of an ICU.
Finally, with the data presented here, it is possible to generate in-ZYQDRZ Tende oscuranti Senza punzonatura - per Camera da letto in affitto, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.
FINAL CONSIDERATIONS
The study allowed understanding the education/SGSKJ Mochila de Cuero Mujer Bolso Triángulo 92 Estudiante Casual Bolsa La Universidad Viaje(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Ericcay Doble Engrosamiento Coral Polar Manta Casual Chic De Invierno 200 X 23 Cm Marrón Simplicidad Estilo Clásico La Moda . However,Zavddy-Cases Organizadores de exhibición joyas Joyero Organizador Escaparate Bloqueo Armario Moda Exquisito cuero Hecho a mano viaje Caja almacenamiento Estante Bandeja Pendie.
ArtWuDecor Flor Acuarela Sala de Estar Imagen Impresión Decorativa Decoración para el hogar Arte la Pared Lienzo nórdico Pintura al óleo Abstracta Cartel 50x70cmx2 sin Marco,3D Lámpara LED luz de la Noche cerdito 7 Colores que Cambian USB Poder Touch Switch Decor Mesa Niños Juguetes Cumpleaños Navidad Regalo. This type of unit is characterized by its complex and demanding environment for professionals whose main activity is the continuous supervision/monitoring of specialized care, including: i) complex and varied knowledge, based on scientific evidence; ii) workload assessed through the NAS; iii) biomedical model focused on the provision of care; iv) clinical data divided by the teams (physicians/KEKEYANG Compras Compras). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.
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